FORM 1023-EZ for REST N HIM

Field Data
EIN 85-3062899
Case Number EO-2020265-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REST N HIM
Organization’s Mailing Address 2875 LILLY DRIVE
City ELIDA
State OH
ZIP 45807
Accounting period End 12
Primary contact name PAMELA R ROLLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA ROLLAN
PRESIDENT
2875 LILLY DRIVE
ELIDA OH 45807

Officer/Director/Trustee Two

WILDA WILLIAMS
SECRETARY/TREASURER
214 PINE FOREST DRIVE
SELMA AL 36701

Officer/Director/Trustee Three

SUSAN SEEDS
DIRECTOR
110 CAMBRIDGE POINT
ALABASTER AL 35007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAMELA ROLLAN
Signature Title PRESIDENT
Signature Date 9/17/2020

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